2016 老年人非瓣膜性心房颤动诊治中国专家建议

2016-09-30 中华医学会老年医学分会 中华老年医学杂志.2016,35(9):915-928.

心房颤动(房颤)是一种以快速、无序心房电活动为特征的室上性快速性心律失常。房颤在心电图上主要表现为P波消失,代之以不规则的心房颤动波(f波);RR间期绝对不规则。临床特点为心悸、脉律绝对不整。年龄是导致房颤发生的独立危险因素,65岁及以上人群的房颤特称老年房颤。根据患者房颤基础病情况,分为瓣膜性房颤和非瓣膜性房颤。非瓣膜性房颤是指无风湿性二尖瓣狭窄、机械/生物瓣膜、二尖瓣修复情况下发生的房颤。此专

中文标题:

2016 老年人非瓣膜性心房颤动诊治中国专家建议

发布日期:

2016-09-30

简要介绍:

心房颤动(房颤)是一种以快速、无序心房电活动为特征的室上性快速性心律失常。房颤在心电图上主要表现为P波消失,代之以不规则的心房颤动波(f波);RR间期绝对不规则。临床特点为心悸、脉律绝对不整。年龄是导致房颤发生的独立危险因素,65岁及以上人群的房颤特称老年房颤。根据患者房颤基础病情况,分为瓣膜性房颤和非瓣膜性房颤。非瓣膜性房颤是指无风湿性二尖瓣狭窄、机械/生物瓣膜、二尖瓣修复情况下发生的房颤。此专家建议只针对老年非瓣膜性房颤。

根据临床发作特点,房颤分类如下:

(1)初发房颤:指首次明确诊断的心房颤动,包括房颤发作时无症状或症状轻微,难以确定房颤的发作时间、持续时间和既往发作史者;

(2)阵发性房颤:指持续时间小于7d的房颤,一般小于48h,多为自限性但反复发作;

(3)持续性房颤:指持续时间大于7d的房颤,一般不能自行复律,药物复律的成功率较低,常需电复律;

(4)长期持续性房颤:持续大于1年,经导管消融等方法可以转复窦律;

(5)永久性房颤:指复律失败不能维持窦性心律、无复律适应证或无复律意愿的房颤。同一患者可能存在多种房颤的类型,如多次阵发性房颤和偶尔发作的持续性房颤。


制定者:
中华医学会老年医学分会
中华老年医学杂志编辑委员会 

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评论区 (4)
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  1. [GetPortalCommentsPageByObjectIdResponse(id=1051742, encodeId=82db1051e4231, content=值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu Sep 16 00:08:15 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159461, encodeId=870815946132, content=很好的内容 谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9a8d1989054, createdName=1e19e3dem60(暂无匿称), createdTime=Thu Dec 01 16:38:47 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159460, encodeId=4efa159460ed, content=很好的内容 谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9a8d1989054, createdName=1e19e3dem60(暂无匿称), createdTime=Thu Dec 01 16:38:23 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159206, encodeId=395315920642, content=谢谢,学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4afa1988069, createdName=小马哥126, createdTime=Wed Nov 30 17:50:01 CST 2016, time=2016-11-30, status=1, ipAttribution=)]
    2021-09-16 湘雅科教

    值得学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1051742, encodeId=82db1051e4231, content=值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu Sep 16 00:08:15 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159461, encodeId=870815946132, content=很好的内容 谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9a8d1989054, createdName=1e19e3dem60(暂无匿称), createdTime=Thu Dec 01 16:38:47 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159460, encodeId=4efa159460ed, content=很好的内容 谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9a8d1989054, createdName=1e19e3dem60(暂无匿称), createdTime=Thu Dec 01 16:38:23 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159206, encodeId=395315920642, content=谢谢,学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4afa1988069, createdName=小马哥126, createdTime=Wed Nov 30 17:50:01 CST 2016, time=2016-11-30, status=1, ipAttribution=)]
    2016-12-01 1e19e3dem60(暂无匿称)

    很好的内容 谢谢

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1051742, encodeId=82db1051e4231, content=值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu Sep 16 00:08:15 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159461, encodeId=870815946132, content=很好的内容 谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9a8d1989054, createdName=1e19e3dem60(暂无匿称), createdTime=Thu Dec 01 16:38:47 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159460, encodeId=4efa159460ed, content=很好的内容 谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9a8d1989054, createdName=1e19e3dem60(暂无匿称), createdTime=Thu Dec 01 16:38:23 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159206, encodeId=395315920642, content=谢谢,学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4afa1988069, createdName=小马哥126, createdTime=Wed Nov 30 17:50:01 CST 2016, time=2016-11-30, status=1, ipAttribution=)]
    2016-12-01 1e19e3dem60(暂无匿称)

    很好的内容 谢谢

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1051742, encodeId=82db1051e4231, content=值得学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu Sep 16 00:08:15 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159461, encodeId=870815946132, content=很好的内容 谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9a8d1989054, createdName=1e19e3dem60(暂无匿称), createdTime=Thu Dec 01 16:38:47 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159460, encodeId=4efa159460ed, content=很好的内容 谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9a8d1989054, createdName=1e19e3dem60(暂无匿称), createdTime=Thu Dec 01 16:38:23 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159206, encodeId=395315920642, content=谢谢,学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4afa1988069, createdName=小马哥126, createdTime=Wed Nov 30 17:50:01 CST 2016, time=2016-11-30, status=1, ipAttribution=)]
    2016-11-30 小马哥126

    谢谢,学习了

    0